A systematic scoping review of hygiene behaviors and environmental health conditions in institutional care settings for orphaned and abandoned children

Michelle Moffa, Ryan Cronk, Donald Fejfar, Sarah Dancausse, Leslie Acosta Padilla, James K Bartram

Research output: Contribution to journalArticle

Abstract

Background: Adequate hygiene behaviors and environmental health conditions are fundamental to children's health, development, and well-being. They are especially important in institutional care settings for orphaned and abandoned children, a particularly vulnerable population whose basic needs are often not met. Objectives: We systematically reviewed the evidence about hygiene behaviors and environmental health conditions in institutional care settings for children and associated health outcomes; interventions to improve these behaviors, conditions, and outcomes; and obstacles to improvement. Methods: PubMed, Web of Science, Scopus, and EBSCOhost were searched for studies in the peer-reviewed and grey literature. Studies were included if they reported primary data on one or more environmental health condition or hygiene behavior in an institutional care setting for orphaned and abandoned children. Results: Forty-five publications reporting on over 500 institutions in 29 countries were included. The most documented concern was poor personal hygiene behaviors followed by inadequate water and sanitation infrastructure and overcrowding. Protozoan, helminthic, viral infections, and diarrheal illness among institutionalized children were the most commonly documented associated health outcomes. Discussion: More studies documented the status of hygiene and environmental health in children's institutions than interventions to improve behaviors and conditions. Insufficient finances and expertise or involvement of caregivers are reported barriers to implementing improvements in children's institutions. The development of guidelines for essential environmental health standards in orphanages, monitoring of facility conditions, accountability for facility deficiencies, and implementation research to identify improvement opportunities would contribute to and promote the health and development of orphaned and abandoned children worldwide.

LanguageEnglish (US)
Pages1161-1174
Number of pages14
JournalScience of the Total Environment
Volume658
DOIs
StatePublished - Mar 25 2019

Fingerprint

Environmental engineering
hygiene
Water quality
Health
water quality
overcrowding
basic needs
child health
accountability
environmental health
environmental engineering
sanitation
Sanitation
finance
Finance
infrastructure
monitoring
Water
Monitoring

Keywords

  • Alternative care
  • Group home
  • Orphanage
  • Toilets
  • Vulnerable children
  • Water quality

ASJC Scopus subject areas

  • Environmental Engineering
  • Environmental Chemistry
  • Waste Management and Disposal
  • Pollution

Cite this

A systematic scoping review of hygiene behaviors and environmental health conditions in institutional care settings for orphaned and abandoned children. / Moffa, Michelle; Cronk, Ryan; Fejfar, Donald; Dancausse, Sarah; Padilla, Leslie Acosta; Bartram, James K.

In: Science of the Total Environment, Vol. 658, 25.03.2019, p. 1161-1174.

Research output: Contribution to journalArticle

@article{272c83473bfb48c7b397b8e841b171a5,
title = "A systematic scoping review of hygiene behaviors and environmental health conditions in institutional care settings for orphaned and abandoned children",
abstract = "Background: Adequate hygiene behaviors and environmental health conditions are fundamental to children's health, development, and well-being. They are especially important in institutional care settings for orphaned and abandoned children, a particularly vulnerable population whose basic needs are often not met. Objectives: We systematically reviewed the evidence about hygiene behaviors and environmental health conditions in institutional care settings for children and associated health outcomes; interventions to improve these behaviors, conditions, and outcomes; and obstacles to improvement. Methods: PubMed, Web of Science, Scopus, and EBSCOhost were searched for studies in the peer-reviewed and grey literature. Studies were included if they reported primary data on one or more environmental health condition or hygiene behavior in an institutional care setting for orphaned and abandoned children. Results: Forty-five publications reporting on over 500 institutions in 29 countries were included. The most documented concern was poor personal hygiene behaviors followed by inadequate water and sanitation infrastructure and overcrowding. Protozoan, helminthic, viral infections, and diarrheal illness among institutionalized children were the most commonly documented associated health outcomes. Discussion: More studies documented the status of hygiene and environmental health in children's institutions than interventions to improve behaviors and conditions. Insufficient finances and expertise or involvement of caregivers are reported barriers to implementing improvements in children's institutions. The development of guidelines for essential environmental health standards in orphanages, monitoring of facility conditions, accountability for facility deficiencies, and implementation research to identify improvement opportunities would contribute to and promote the health and development of orphaned and abandoned children worldwide.",
keywords = "Alternative care, Group home, Orphanage, Toilets, Vulnerable children, Water quality",
author = "Michelle Moffa and Ryan Cronk and Donald Fejfar and Sarah Dancausse and Padilla, {Leslie Acosta} and Bartram, {James K}",
year = "2019",
month = "3",
day = "25",
doi = "10.1016/j.scitotenv.2018.12.286",
language = "English (US)",
volume = "658",
pages = "1161--1174",
journal = "Science of the Total Environment",
issn = "0048-9697",
publisher = "Elsevier",

}

TY - JOUR

T1 - A systematic scoping review of hygiene behaviors and environmental health conditions in institutional care settings for orphaned and abandoned children

AU - Moffa, Michelle

AU - Cronk, Ryan

AU - Fejfar, Donald

AU - Dancausse, Sarah

AU - Padilla, Leslie Acosta

AU - Bartram, James K

PY - 2019/3/25

Y1 - 2019/3/25

N2 - Background: Adequate hygiene behaviors and environmental health conditions are fundamental to children's health, development, and well-being. They are especially important in institutional care settings for orphaned and abandoned children, a particularly vulnerable population whose basic needs are often not met. Objectives: We systematically reviewed the evidence about hygiene behaviors and environmental health conditions in institutional care settings for children and associated health outcomes; interventions to improve these behaviors, conditions, and outcomes; and obstacles to improvement. Methods: PubMed, Web of Science, Scopus, and EBSCOhost were searched for studies in the peer-reviewed and grey literature. Studies were included if they reported primary data on one or more environmental health condition or hygiene behavior in an institutional care setting for orphaned and abandoned children. Results: Forty-five publications reporting on over 500 institutions in 29 countries were included. The most documented concern was poor personal hygiene behaviors followed by inadequate water and sanitation infrastructure and overcrowding. Protozoan, helminthic, viral infections, and diarrheal illness among institutionalized children were the most commonly documented associated health outcomes. Discussion: More studies documented the status of hygiene and environmental health in children's institutions than interventions to improve behaviors and conditions. Insufficient finances and expertise or involvement of caregivers are reported barriers to implementing improvements in children's institutions. The development of guidelines for essential environmental health standards in orphanages, monitoring of facility conditions, accountability for facility deficiencies, and implementation research to identify improvement opportunities would contribute to and promote the health and development of orphaned and abandoned children worldwide.

AB - Background: Adequate hygiene behaviors and environmental health conditions are fundamental to children's health, development, and well-being. They are especially important in institutional care settings for orphaned and abandoned children, a particularly vulnerable population whose basic needs are often not met. Objectives: We systematically reviewed the evidence about hygiene behaviors and environmental health conditions in institutional care settings for children and associated health outcomes; interventions to improve these behaviors, conditions, and outcomes; and obstacles to improvement. Methods: PubMed, Web of Science, Scopus, and EBSCOhost were searched for studies in the peer-reviewed and grey literature. Studies were included if they reported primary data on one or more environmental health condition or hygiene behavior in an institutional care setting for orphaned and abandoned children. Results: Forty-five publications reporting on over 500 institutions in 29 countries were included. The most documented concern was poor personal hygiene behaviors followed by inadequate water and sanitation infrastructure and overcrowding. Protozoan, helminthic, viral infections, and diarrheal illness among institutionalized children were the most commonly documented associated health outcomes. Discussion: More studies documented the status of hygiene and environmental health in children's institutions than interventions to improve behaviors and conditions. Insufficient finances and expertise or involvement of caregivers are reported barriers to implementing improvements in children's institutions. The development of guidelines for essential environmental health standards in orphanages, monitoring of facility conditions, accountability for facility deficiencies, and implementation research to identify improvement opportunities would contribute to and promote the health and development of orphaned and abandoned children worldwide.

KW - Alternative care

KW - Group home

KW - Orphanage

KW - Toilets

KW - Vulnerable children

KW - Water quality

UR - http://www.scopus.com/inward/record.url?scp=85058807712&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058807712&partnerID=8YFLogxK

U2 - 10.1016/j.scitotenv.2018.12.286

DO - 10.1016/j.scitotenv.2018.12.286

M3 - Article

VL - 658

SP - 1161

EP - 1174

JO - Science of the Total Environment

T2 - Science of the Total Environment

JF - Science of the Total Environment

SN - 0048-9697

ER -